Mentary/Skeletal
The skin two layers of tissue
What is epidermis and the dermis
This acts as a protective covering over the entire surface of the body
What is Skin
What is the best practice for infection control?
What is Handwashing/Hand Hygiene
A nurse's number one priority when treating clients
What is Client safety
The nurse is caring for a geriatric client with thin, chapped, itchy skin. Which nursing intervention should the nurse alter in the plan of care?
A. Use of a gait belt for ambulation
B. Maintenance of foam pad on wheelchair
C. Daily bathing with warm-hot water
D. Applying lanolin ointment
What is Applying lanolin ointment (D)
This type of injury, commonly seen in older adults, occurs when the skin is torn due to friction or trauma, often resembling a paper cut but much more serious.
What is Skin Tear
The skin helps regulate
What is body temperature
Similar to making sure you’re picking the right ingredients for a recipe, these five essential steps ensure the correct medication is given to the right person, at the right time, in the right dose, and by the right route.
What is the 5 Rights of medication administration?
This term describes the full movement potential of a joint, often measured to assess flexibility and mobility, like how far you can stretch to grab something off the top shelf.
What is Range of Motion(ROM)
Which of the following information regarding the transmission of lice would the nurse identify as a myth?
A. Lice can be spread by sharing of hats, caps, and combs.
B. Lice can jump from one individual to another.
C. Lice need to be removed from the hair with a fine comb.
D. Lice can be seen without magnification.
What is Lice can jump from one individual to another(B).
During a routine checkup, a nurse observes the client's skin to be tight and shiny. Which of the following is the correct indication of this sign?
A) Sebum deficiency
B) Fluid retention
C) Dehydration
D) Protein deficiency
What is Fluid retention (B)
What Provides a rigid framework that supports the internal organs and the skin.
What is a Skeleton
Much like the first three steps in baking a cake—get the ingredients, mix them well, and bake it at the right temperature—this trio is what healthcare providers focus on when assessing a patient’s condition.
What is airway, breathing, and circulation?
The nurse is assessing a client who is hospitalized for dehydration from persistent vomiting. How would the nurse assess that the client's skin turgor is related to the state of dehydration?
A. When the nurse pinches up skin of the hand, there is rapid recoil.
B. The client has wrinkles of the chest.
C. The nurse grasps the skin over the sternum between the thumb and forefinger with slow recoil observed.
D. The nurse grasps the skin over the sternum between the thumb and forefinger with rapid recoil of the skin observed.
What is The nurse grasps the skin over the sternum between the thumb and forefinger with slow recoil observed(C).
The nurse is assessing a client in the clinic and observes a fine skin rash over the arms and trunk. What question is a priority that the nurse asks related to the rash?
A. “How many times have you had a rash like this before?”
B. “What medication are you taking?”
C. “Does anyone else in your family have the same rash?”
D. “Does the rash itch?”
What is “What medication are you taking?”(B)
This condition, often seen in individuals with compromised mobility, involves a breakdown in the integumentary system due to prolonged pressure, while the musculoskeletal system contributes by reducing blood flow to the affected area, increasing the risk of tissue damage.
What is Pressure Ulcers
This transmits feelings of heat, cold, pain, touch, and pressure.
What is Nerve receptors
Doing Skin assessment what should you look for? Name 5
What is wounds, color, swelling, size, skin disorders, moles bruising etc
Just like different types of bubbles you might see in a fizzy drink—flat, raised, or filled with liquid—these terms describe various skin lesions, including a flat discolored spot, a raised bump, and a fluid-filled blister. name 3
What is Macule, Papule. Vesicle, Plaque, Wheal, and Pustule
A client has a boil that is located in the left axillary area and is elevated with a raised border, and filled with pus. How would the nurse document this type of lesion?
A)Macule
B)Vesicle
C)Pustule
D)Cyst
What is Pustule(C)
Much like evaluating a piece of fruit for ripeness by checking for unevenness, discoloration, and size, this mnemonic helps Nurses assess moles for signs of melanoma. What does it stand for?
What is ABCDs: A = asymmetrical, B = irregular border, C = color, D = diameter change greater than 1/4 inch.
Which of the following pigments influences hair color?
A) Pheromones
B) Keratin
C) Sebum
D) Melanin
What is Melanin(D)
How do you assess for Cardiac Arrest
What is Unconsciousness, Breathing, Pulse
Proper Wound care is essential to
What is promote healing and prevent infection
The nurse is caring for a client in the long-term care facility that was living in their home with a family member caring for them. The family member states that they had a difficult time getting the client to eat or drink and he developed a “bed sore.” The nurse observes a serous drainage covering the dressing and a 2 × 2 cm crater that is 0.5 cm deep. What stage does the nurse document this pressure sore as?
A. Stage I
B. Stage II
C. Stage III
D. Stage IV
What is Stage III (C)